Orthodontic emergencies are unusual. A broken bracket or ligature may be annoying but rarely painful; these types of repairs can be made at a routine visit. On the other hand, a displaced wire or other traumatic incident may require immediate attention. You can call the office to receive instruction on how to care for your emergency and how to contact a responsible assistant. We always have a doctor or assistant “on call” to help you with these problems, most of which can be alleviated at home. This is certainly your first line of action. Never hesitate to call! We want you to feel comfortable and assured that all is under control.

Emergencies generally fall into two categories:

1. Direct injuries to the mouth and teeth.

2. Damage to orthodontic appliances.

DIRECT INJURIES TO THE MOUTH AND TEETH

Following a direct injury to your mouth or teeth, you should see your general dentist as soon as possible. An X-ray of the involved tooth may be needed to determine the extent of the injury. Contact your dentist first if a tooth has been lost, severely displaced or fractured. Our orthodontic office may not have the necessary materials to treat your injuries.

EMERGENCIES RELATED TO ORTHODONTIC APPLIANCES

Broken or disturbed appliances may occur during your orthodontic care. Loose bands, broken or poking wires and dislodged or displaced orthodontic appliances should be reported to our office during regular office hours. We will evaluate the urgency of the problem and schedule an appointment for you. In the interim, follow these temporary measures:

An irritating tie wire can be covered with wax or tucked under the arch wire using a blunt object such as a pencil eraser or a Q-Tip.

A loose band or bracket can usually be left in place until your office appointment.

A broken arch wire or one that is irritating the gum or cheek

tissue requires replacement or adjustment.

A bent headgear facebow or ill-fitting removable appliance should not be worn until it is properly adjusted during your office visit.